IV. ADVANCE REQUESTOR RESPONSIBILITY
Financial
Services
Towson University Business Travel Office
WORKING FUND ADVANCE REQUEST FORM
I acknowledge receipt of Check # ________________________ Amount $________________
Signature: _________________________________________ Date: _________________
Rec# _________
__________________
Amount: ________________________
Da
te:
___________________________
Requestor’s Name: ________________________________________ Requestor’s E-mail: _________________________________
TU Emp ID# ______________________
Please also notify by email: __________________________________________________
Is Requestor or beneficiary of this payment a U.S. Citizen
or Permanent Resident Alien
Briefly list business purpose of advance request:
IV. REQUESTOR RESPONSIBILITY: I, the Requestor, acknowledge and accept this advance knowing it is my re-
sponsibility to return in equal amount in cash , personal check or original receipts. Returned personal checks may subject to a
$50.00 service charge. Receipts must be in accordance with Towson University and University System of Maryland Policy & Pro-
cedures. Travel Advance Settlements are due five (5) business days after RETURN DATE.
Important: Failure to settle with the University for this Working Fund advance by the due date may result in the debt being
referred to the Bursar’s Office for collection, and if necessary, transfer to the State’s Central Collection Unit.
REQUESTOR SIGNATURE: ____________________________________________________ DATE: _______________________
II. REQUESTOR INFORMATION (Advances may only be requested by TU Faculty/Staff. Travel advances must be
requested through the Tiger Travel system.)
Dept or Grant #: _____________________ Dept. or Grant Name: _____________________________________________________
Authorized Budget Signature: ______________________________________ DATE: ________________
V. DEPARTMENT OR GRANT INFORMATION (Department is not charged until a Miscellaneous Expense Voucher is submitted.)
NRA? ______
ABS? ______ W9?______ TUEe-m? ______ Check Preparation Due Date: ________________________________
WF Writer: ________ Adv Type: _________ Actual Check Date: _________________ Settlement Due Date: _________________
VI. ADVANCE CHECK PROCESSING INFORMATION (For Working Fund Custodian use only.)
VII. REQUESTOR/COURIER ADVANCE PICK UP
(Must be TU Employee. Please show TU ID)
III. SUPPORTING DETAIL TO AMOUNT REQUESTED
Amount Requested: _________________
Make Check Payable To: ______________________________________________________
Event Date: ________________ Return Date (if applicable): _________________
I. CHECK PREPARATION INFORMATION
VIII. RECEIPT INFORMATION
(When monies returned in full.)
SUBMIT ORIGINAL FORM TO BUSINESS TRAVEL OFFICE
Revised 04/2015
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